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When do I need to see an or...

Q&A: When do I need to see an orthopaedic consultant?

By Mr Amit Kumar,

Pain that's not going away? When is the right time to refer to an orthopaedic specialist and what options are available to your patients? Our Q&A session with Mr Kumar, Consultant Surgeon in Orthopaedics should help shed some light.

 

When is the right time to refer your physio patient to a specialist?

  • Persistent joint pain not responding to  a course of treatment
  • New onset joint pain during physio
  • Finding of joint swelling or effusion not resolving
  • Finding of a new soft tissue lump getting bigger and painful or of concern
  • Questions that cannot be answered! (It’s ok to say "I don’t know")
 

What sort of ailments would present?

  • Swelling
  • stiffness
  • skin changes
  • locking
  • giving way in the knee
  • instability
  • lump and bump
  • reduced walking distance
  • night pain

 

In what situations would you recommend an injection?

Only ever after specialist consultation and up to date imaging. You should never inject into an area if you don’t know what’s going on.

 

When is it time to have a scan?

  • Pre-injection
  • Symptoms not responding to conservative treatment
  • Following specialist consultation. 
  • For what injuries/reasons would surgery be necessary?
 

Mechanical symptoms ie locking giving way

  • Instability
  • Persistent pain affecting the quality of life
  • Scan proven pathology 

 

Mr Kumar is a Consultant at Manchester University Hospitals NHS Foundation Trust and performs hip and knee surgery. His specialist interest is in musculoskeletal oncology in particular soft tissue sarcomas. He is also the Clinical Director of the Sarcoma Pathway Board for Great Manchester Cancer. Mr Kumar promotes enhanced recovery and promoting patient outcomes.  He also offers rapid assessment and diagnostics in the Rapid Access lumps and bumps clinic and runs weekly injection clinics at our Manchester city centre site. We can offer immediate appointments with Mr Kumar to self-paying or insured private patients. 

Same or next day appointments available and reports are sent back to you, the referring physio within 3-5 working days.
 
If you have a patient you feel would benefit from a steroid injection, scan, orthopaedic consultation or may want to pursue surgery then please contact GP@pallmallmedical.co.uk or call 0330 058 44 55.